Active NPIIndividual providerSole proprietor

Dema Shamoon, MD

Internal Medicine, Gastroenterology in Fair Lawn, New Jersey

NPI Number1396265906
Practice location
22-02 Broadway, Suite 301, Fair Lawn, NJ 07410
Fax
—
Last updated
November 4, 2026

Dema Shamoon is an Internal Medicine, Gastroenterology based in Fair Lawn, NJ. Dema Shamoon practices in Fair Lawn, NJ and has the professional credentials of MD. The NPI Number for Dema Shamoon is 1396265906 and holds a License No. 25MA10826900 (NJ). The current practice location address for Dema Shamoon is 22-02 Broadway, Suite 301, Fair Lawn, NJ 07410 and can be reached out via phone at 201-414-5732.

Provider Profile Details

NPI Number
1396265906
Provider Name
Dema Shamoon
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
22-02 Broadway, Suite 301, Fair Lawn, NJ 07410
Phone Number
201-414-5732
Primary Taxonomy
Internal Medicine, Gastroenterology · 207RG0100X
Sole Proprietor
Yes
Provider Enumeration Date
June 23, 2017
Last Update Date
November 4, 2026
Certification Date
November 4, 2026
NPI Status
Active

Provider Business Practice Location Address Details

Address
22-02 Broadway
Suite 301
Fair Lawn, NJ 07410
Zip
07410
Phone Number
201-414-5732
Fair Lawn, NJ 07410Get directions →

Provider Business Mailing Address Details

Address
703 Main St
Paterson, NJ 07503-2621
City
Paterson
State
NJ
Zip
07503-2621

License Information

License Number (1)
25MA10826900
License State (1)
NJ
Taxonomy (1)
Internal Medicine, Gastroenterology · 207RG0100X · Primary
License Number (2)
MD479974
License State (2)
PA
Taxonomy (2)
Internal Medicine, Gastroenterology · 207RG0100X

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Dema Shamoon, MD?

The NPI number of Dema Shamoon, MD is 1396265906. It was assigned on June 23, 2017 and is currently active in the NPPES registry.

What is the specialty of Dema Shamoon, MD?

Dema Shamoon, MD is registered under the primary taxonomy Internal Medicine, Gastroenterology (code 207RG0100X), licensed in NJ under license number 25MA10826900.

Where does Dema Shamoon, MD practice?

The practice location is 22-02 Broadway, Suite 301, Fair Lawn, NJ 07410. The office can be reached at 201-414-5732 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1396265906 directly on the NPPES registry website.

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